Tunneled Peritoneal Drain Placement

Tunneled permanent drain placement for home ascites evacuation.

Drainage and Aspiration

Tunneled Peritoneal Drain Placement

Synonyms : peritoneal PleurX drain, tunneled drain for refractory ascites

Background

Refractory ascites requiring repeated paracentesis (>2/month).

Procedure

Tunneled drain with Dacron cuff placed under local anesthesia. Duration: 30-45 minutes.

Risks

Peritonitis, drain obstruction, local pain.

Recovery

Patient education. Home drainage 2-3 times weekly.

Practical information

Local anesthesia. Outpatient procedure (return home the same day).